Provider Demographics
NPI:1316197254
Name:DONIAZ, MARTHA (LMT)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:
Last Name:DONIAZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 TAMIAMI TRAIL
Mailing Address - Street 2:N
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114
Mailing Address - Country:US
Mailing Address - Phone:239-398-3000
Mailing Address - Fax:
Practice Address - Street 1:1825 TAMIAMI TRAI
Practice Address - Street 2:N
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114
Practice Address - Country:US
Practice Address - Phone:239-398-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37773225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist